Rotations

Ipswich Rotation

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IPSWICH HOSPITAL TRUST

Ipswich Hospital NHS Trust provides secondary (specialist) or acute healthcare to a core catchment population of approximately 356,000 people living in Ipswich and East Suffolk. It is a busy district general hospital with 631 beds in general acute, maternity, Paediatric and neonatal services

 

In June 2008, The Garrett Anderson Centre (GAC) was opened, which provides a new Emergency Department, a 22 bed Intensive Care facility, 40 elective surgery beds and 4 operating theatres with associated day case surgical unit. The Urgent Care Centre was rated as Outstanding by the CQC Inspection in April 2015.

ENT Department

 

There are 4 ENT Consultants. Mr. Andreas Hilger Consultant Head & Neck Surgeon is also the current regional Training Programme Director for ENT.

 

Mr. Matthew Yung (Otology)

Mr. Mahmoud Salam (Rhinology)

Mr. Andreas Hilger (Head & Neck Surgery)

Mr. Jim Fong (Head & Neck Surgery)

 

3 Trainee Registrars on rotation

 

3 Middle Grade Specialty Doctors

 

2 SHOs (1 FY2 and 1 GP VTS).

 

5 full and part time experienced Specialist Nurse Practitioners (SNPs)

 

Training structure and Rota

During the 12 months spent at Ipswich Hospital, ENT Registrars will rotate through 3, 4 month rotations (Otology, Head & Neck and Rhinology). Ipswich patients requiring major head & neck surgery are operated on at the Norwich & Norfolk University Hospital and during the Head & Neck rotation, trainees travel to Norwich every other Tuesday for these theatre lists. The Registrar timetables for each of the three rotations are below;

ENT Consultant Timetable (Reg1 – Otology – Mr. Yung)

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

 

Clinic

(Bal Cl 1st&3rd)

 

 

Theatre

(Mr. Yung)

 

Clinic

A B C

 

Clinic A&C

Theatre B&D

(Mr. Yung)

 

 

Clinic (Paed)

 

 

 

Clinic

Weeks A C D

 

 

 

       Theatre

        (Mr. Yung)

 

 

Research

 

 

Clinic A&C

Theatre B&D

(Mr. Yung)

 

 

Theatre B&D

(Mr. Fong)

½ day A&C

 

ENT Consultant Timetable (Reg2 – Rhinology – Mr. Salam)

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

 

Theatre

(Mr. Salam)

 

 

Clinic

 

Voice clinic D

 

 

Clinic B&D

Theatre A&C

(Mr. Salam)

 

Clinic A C D

Voice Clinic B

 

 

Theatre

(Mr. Salam)

 

 

 

 

 

Clinic (Paed)

 

 

Theatre C

(Mr. Fong)

½ day A B D

 

 

Clinic B&D

Theatre A&C

(Mr. Salam)

 

 

 

Theatre A

(Mr. Fong)

 

Research B C D

 

ENT Consultant Timetable (Reg3 Head & Neck – Mr. Hilger & Mr. Fong)

 

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

 

Clinic

 

 

Clinic B&D

NNUH A&C

 

MDT & HNJE/F Clinic

 

Research

 

Theatre

(Mr. Hilger)

 

 

½ day

 

 

 

    Clinic B&D

    NNUH A&C

 

Clinic C

Theatre A B

 & D (Mr. Fong)

 

 

Clinic

 

Theatre A B D (Mr. Hilger)

 

(Thy clinic with AWH wk C)

Registrar on calls

On calls are a full working pattern shift system (24 hour, non resident). The weekdays are a 1:4 rota (Tuesdays Reg 1, Wednesdays Reg 3, Thursdays – Reg 2). The Friday night and weekend rota is shared with the Colchester Hospital ENT Department on an alternating basis with the on call Registrar providing cover for both Colchester and Ipswich Hospitals. This works out as 1:8 weekends and 1:10 Fridays.

On an Ipswich weekend on-call, the Ipswich team (via the 1st on call) take all emergency referrals (and new admissions as necessary) from Colchester A+E and GPs. On Saturday morning, the Ipswich on call Registrar does a ward round at Ipswich Hospital and then receives a handover of Colchester in-patients from the Friday night Colchester registrar once they have done the ward round at Colchester. On Sunday morning, the duty Registrar does an inpatient ward round at both Ipswich and Colchester Hospitals.

The majority of 1st on call cover during nights and weekends is staffed by experienced Specialist Nurse Practitioners. This system is very successful and has gained national recognition.

 

ENT Courses at Ipswich Hospital

 

Each year, Mr. Matthew Yung runs a Mastoidectomy & Tympanoplasty Course and a Dacrocystrhinostomy Course both of which enjoy a distinguished International Faculty, clinical workshops, lectures and live surgery sessions. As staff of Ipswich Hospital, ENT trainees are invited to attend these courses free of charge, although may be asked to help out on the day. The annual temporal bone course also takes place at Ipswich Hospital, usually in November.

 

Useful contacts

 

Mr. Andreas Hilger (Training Programme Director): andreas.hilger@ipswichhospital.nhs.uk

Carol Bolton – Lead Secretary for ENT: carol.bolton@ipswichhospital.nhs.uk

Jan Rudd (Mr. Yung- secretary) –course related queries: jan.rudd@ipswichhospital.nhs.uk

 

 

 

 

 

 

 

Colchester Rotation

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Colchester Rotation

Welcome to Colchester Hospital University NHS Foundation Trust (CHUFT), which is situated in Britain's oldest recorded town, Colchester. It is easily accessible by both rail and motorway (through the A12 highway) and it is approximately an hours’ commute from London. Alternatively there is a train that originates from Liverpool Street, London). The trust serves a district population of approximately 334,000 with a high proportion of elderly people, and as a trainee you will be exposed to a wide variety of clinical conditions and pathologies. The town itself has an active town centre and many amenities are nearby such as supermarkets and gyms.

ENT Department

The department has the following structure ;

 4 Consultants

  1. Mr Duncan McRae (MCR) – lead clinician, general with interest in Rhinology and otology.
  2. Mr Donald McFerran (DMC) – Assigned educational supervisor, general with interests in otology, hyperacusis and tinnitus
  3. Ms Angelisa Espinosa – general with interest in paediatrics and otology
  4. Mr Arcot Maheshwar (MHW)  - malignant and benign head and neck

2 Associate Specialists – Mr Chokkalingam, Mr Siddique

2 Training registrars

4 SHOs and 1 FY1

All clinics and secretarial offices are in Essex County Hospital, Lexden Road whereas the operating sessions and inpatient care is located in Colchester General Hospital (2.5 miles apart). Malignant head and neck operating including post-operative inpatient care is undertaken in Broomfield Hospital, Chelmsford (roughly 20 miles from Colchester)

Training structure and rota

The year is divided into a general and head and neck job as outlined below;

 

SpR 1

SpR 2

Monday 1

OPD (LEE3A)

Research

Theatre (MHW)

Theatre (MHW)

Monday 2

OPD (LEE3A)

Research

Clinic (LEE6P)

Free

Tuesday 1

Theatre (MCR)

OPD (MCR3C)

Theatres (Chelmsford)

Theatres (Chelmsford)

Tuesday 2

Theatre (MCR)

OPD (MCR3C)

Research

Research

Wednesday 1

Theatre (LEE)

Theatre (LEE)

OPD (DMCTC followed by MHW34)

OPD (DMCW4)

Wednesday 2

Theatre (LEE)

Theatre (LEE)

OPD (MCR2C)

OPD (DMCW4)

Thursday

Theatre (MCR)

OPD (MHWT2 / MCR6C)

OPD DMCT3

Theatre (DMC)

Friday 1

OPD (LEE5P)

Theatre (DMC)

Theatres (MCR)

OPD (MHWF3)

Friday 2

OPD (LEE5P)

Free

OPD (LEE4P)

Free

 

On-calls

The on-calls are a full working pattern shift system (24 hour, non resident). The weekdays are a 1:4 rota (General SpR on-call every Wednesday night and Head and Neck SpR on-call every Thursday night). The Friday night and weekends are shared with Ipswich on a 1:8. On a Colchester weekend on-call, the Colchester team takes all emergencies from Ipswich A+E and GPs. The registrar goes over on the Sunday to do a ward round of the inpatients. The similar thing happens to the Ipswich team on an Ipswich weekend-on call.

 

Useful contact links

Mr Donald McFerran – don.mcferran@colchesterhospital.nhs.uk

Adrian Cooke (Mr McFerran’s secretary) Adrian.cooke@colchesterhospital.nhs.uk,

01206 744439

 

Luton & Dunstable Rotation

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LUTON & DUNSTABLE HOSPITAL
EAST OF ENGLAND ROTATION

The hospital was officially, opened by Her Majesty Queen Mary on 14th February 1939. The hospital has gone from strength to strength and today the L&D is a fully-fledged University Teaching Hospital.

The L&D has a team consists of highly qualified specialist Consultants dealing with all aspects of ENT from minor procedures, such as putting in grommets to complex head and neck cancer surgery.

They are supported by specialist ENT and Head & Neck Cancer nurses and healthcare professionals (SLT and Dieticians), all focused on ensuring that our patients have the best possible treatment and experience.

The ENT team members provide both routine and specialist clinics including some nurse clinics.

Ward 20 is the Head & Neck ward shared with OMFS and has the expertise and facilities to provide care for the patients with traches and free flaps.

The outpatient clinics consist of general ENT, Head & Neck Cancer, Neck Lump, Thyroid, Voice, and Paediatric Clinics. The theatre lists consist of day-case  procedures and inpatient adult and Paediatric cases.

ENT Department

The department has the following structure ;

 4 Consultants

  1. Mr Prasaud Kothari – Clinical Director, Assigned Educational Supervisor, Consultant Head & Neck Surgeon
  2. Mr Sanjeev Silva – Consultant Head & Neck Surgeon
  3. Ms Jaan Panesar – Consultant ENT surgeon with interest in Paediatrics and Facial plastics
  4. Mr Om Chawla  - Consultant ENT Surgeon with an interest in Otology
  5. Mr Pranay Singh – Consultant Otologist
  6. Mr Nick Clifton – Consultant Rhinologist

2 Associate Specialists – Mr Thambyrajah, Mr Aijaz

4 Clinical Fellows

2 Training registrars

1 CT1 and 2 FY2

 

 

Training structure and rota

The year is divided into a 6 months general and 6 months head and neck

 

Head & Neck SpR

General ENT SpR

Monday

Theatre (PK)

Theatre (PK)

Free

OPC (OC)

Tuesday

OPC (SS)

OPC (PS)

Wks2,4

Theatre (OC)

Theatres (OC)

Wednesday

Free

Paeds OPC (PS)

OPC (PK)

Free

Thursday

H&N MDT and OPC (PK)

OPC (PK)

Wks 1,3,5

Theatre (NC)

OPC (NC)

Friday

Thaetre (SS)

Theatre (SS)

Theatre (PS)

OPC (PS)

 

On-calls

The on-calls are a full working pattern shift system (24 hour, non resident). The weekdays are a 1:4 rota. The Friday night and weekends are shared with Bedford on a 1:5. On Friday and weekend on-call, we also cover Bedford Hospital (on weekends you cover Bedford but this will soon change to L&D only for all inpatient activity at weekends)

Useful contact links

LUTON & DUNSTABLE HOSPITAL

Lewsey Road

Luton

LU4 0DZ

 

Telephone:  01582 49 11 66

Secretary: Yasmin  Jora,

Tel: 01582-497457

Email: yasmin.jora@ldh.nhs.uk

Fax: 01582-497031

 

Norwich Rotation

Norwich Rotation

 

 

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Norfolk and Norwich University Hospitals NHS Foundation Trust (NNUH) is one of the largest NHS trusts in the United Kingdom and provides first-class acute and specialist services. The job of the hospital is to provide the best possible care for a tertiary catchment area of up to 1 million people. It is easily accessible by both rail and motorway (through the A11 highway) and it is approximately two hours’ commute from London. The city itself has a large range of shopping facilities and is close to the broads (an area of outstanding natural beauty).

ENT Department

The department has the following structure;

 5 full time consultants

  1. Mr Mike Wickstead (MW) – lead clinician, general with interest in paediatrics and otology.
  2. Mr Andrew Bath (APB) – ENT Training Committee Chair, general with interests in rhinology and otology.
  3. Mr John Phillips  (JSP) – Assigned Educational Supervisor, general with interest in otology
  4. Mr Ramez Nassif (RGN)  - malignant and benign head and neck
  5. Mr Stuart Burrows (SB) - malignant and benign head and neck

3 part time consultants

  1. Mr Peter Prinsley (PRP) – general with interest in otology and rhinology.
  2. Mr Junaid Hanif (JH) – general with interest in otology.
  3. Mr Peter Tassone (PT) – general with interest in malignant and benign head and neck

2 Staff Grades – Mr Mo Alfiky, Mr Hassan Mohammed

3 Training registrars

5 SHOs

All clinics and secretarial offices are located on the main site.

 

SpR 1 (H&N)

SpR 2 (General)

SpR (General)

Monday    AM                      

 

              

                  

                   PM                             

OPD RGN (2&4)

THEATRE RGN (1&3)

 

 

THEATRE RGN (1&3)

FREE (2&4)

OPD JSP

 

 

 

THEATRE JSP (1&3)/MW (2&4)

THEATRE APB (2&4)/PRP (1&3)

 

 

OPD APB (2&4)/PRP (1&3)

Tuesday     AM                    

 

                                       

                   PM                     

THEATRE H&N RGN

 

 

THEATRE H&N RGN

THEATRE JSP

 

 

OPD JSP

OPD MW

 

 

THEATRE MW

Wed          AM             

 

                                      

                  PM               

H&N MDT

 

 

H&N OPD

THEATRE PT (2&4)

FREE (1&3)

 

OPD PT (2&4)

OPD JH (1&3)

THEATRE APB (1&3)

OPD JH (2&4)

 

THEATRE JH (2&4)

OPD JH (1&3)

Thurs         AM               

 

                                       

                   PM                

OPD RGN

 

 

OPD RGN (1&3)

FREE (2&4)

OPD PT

 

 

DPU (2&4)

FREE (1&3)

DPU APB (1&3)

FREE (2&4)

 

OPD PRP (1&3)

FREE (2&4)

Friday         AM                 

 

                                       

                     PM                

TNO RGN (2&4)

FREE (1&3)

 

OPD RGN (1&3)

FREE (2&4)

OPD JH (2&4)

FREE (1&3)

 

THEATRE JH (1&3)

FREE (2&4)

OPD APB

 

 

FREE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Timetable due to change from Oct 2015

On-calls

The on-calls are a full working pattern shift system (24 hour, non resident). The weekdays are a 1:7 rota. The Friday night and weekends also cover ENT emergencies from James Paget University Hospital and Queen Elizabeth Hospital but the registrar is routinely based at Norfolk & Norwich University Hospital.

Useful contact links

Mr Andrew Bath

andy.bath@nnuh.nhs.uk

 

 

West Suffolk (Bury St Edmunds) Rotation

West Suffolk Hospital

 

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The West Suffolk Hospital is a vibrant, friendly and accessible hospital set in a 19-hectare parkland site on the edge of Bury St Edmunds. It has around 430 beds open at any one time and serves a population of around 275,000, within area of approximately 600 square miles. It is easily accessible by road via the A14 and is approximately 30-40 minutes from Cambridge. Bury St Edmunds in Suffolk is a unique and dazzling historic gem. An important market town with a richly fascinating heritage, the striking combination of medieval architecture, elegant Georgian squares and  the glorious Cathedral and Abbey gardens provide a distinctive visual charm.

ENT Department

The department has the following structure:

3 Consultants

  • Mr Fahmy Fahmy (FF): Otology
    • Assigned educational supervisor
  • Mr Marcos Martinez del Pero (MM): Head and neck,
    • Lead clinician
  • Mr David McKiernan (DCM): Rhinology and facial plastics
    • Also works at Addenbrooke’s

3 Associate Specialists – Mr Skibsted, Mr Ahmed

2 Training registrars and 1 staff specialist

3 SHO's

Clinics and theatre are mainly at the West Suffolk site, but satellite clinics are held at Newmarket and Sudbury, and one half of the rota has one-day-a-week at Addenbrooke’s.

Training structure and rota

The year is divided into two, but on either half time is spent with all consultants.

 

 

SpR 1

SpR 2

 

 

 

MON

 

AM

Theatre

WSH

(DCM)

OP Clinic

WSH

(MM)

PM

OP Clinic

WSH

(DCMB)

Theatre

WSH

(MM)

 

 

TUES

 

AM

Theatre

WSH

(MM)

Ward round

OP Clinic

WSH

(FFB)

PM

CPD or Theatre (optional)

Theatre

(FF)

 

 

 

WED

AM

OP Clinic- Newmarket

(DCMN) Wks 1,3

Academic Wks2,4,5

Ward round

CPD

PM

OP Clinic

Newmarket

 (DCMN)  Wks 2,4,5

Academic Wks 1,3

Theatre

WSH

(RS)

 

 

 

THURS

AM

Theatre

WSH

(FF)

DCM clinic

Addenbrooke’s

DCM theatre Wk4

PM

Theatre

WSH

(FF)

DCM theatre

Addenbrooke’s

(1830 finish)

 

 

 

 

FRI

AM

Ward round

OP Clinic

St Leonards

(FFSHC)

 

Academic

PM

OP Clinic

WSH

(FFB)

OP Clinic

WSH

(FFB)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

On-calls

Mid week (0800-1700 at WSH) are shared between the two registrars and one staff grade. The overnight on-calls are non-resident based at Addenbrooke’s. These are shared with the 6 Addenbrooke’s registrars, which results in a 1:8 pattern. Mid-week evenings (1700-0800) the WSH registrar covers every other Thursday. Fridays (1700-0800) and Saturday to Monday (0800 – 0800) are also 1:8. If you live more than 30 minutes from Addenbrooke’s you will need to be resident (currently accommodation provided).

The Addenbrooke’s on call covers WSH, Addenbrooke’s and Papworth Hospitals so if ENT emergencies occur at these sites the registrar needs to travel to the emergency (therefore car essential).

 

Useful contact links

Marcos Martinez del Pero: marcos.martinezdelpero@wsh.nhs.uk

 

Fahmy Fahmy: fahmy.fahmy@wsh.nhs.uk

 

Sarah Smith (PA to MM and DCM): sarah.smith@wsh.nhs.uk

Jacquie Adie (PA to FF): Jacquie.adie@wsh.nhs.uk

 

James Paget Hospital
 
 
5 Consultants:
4 part-time:
- Peter Prinsley (Otology, Facial Plastics)
- Junaid Hanif (Otology, Snoring Surgery)
- Carl Philpott (Rhinology)
- Vacant post - TBC (H&N)
1 full-time:
- Basil Alomari (locum) (General ENT)
 
2 registrar posts
3 SHOs
The James Paget University Hospital is a vibrant university hospital providing the best possible care to a population of 230,000 residents across Great Yarmouth, Lowestoft and Waveney, as well as to the many visitors who come to this part of East Anglia. Our main site in Gorleston is supported by the Newberry Clinic and other outreach clinics in the local area.
The Trust has c500 inpatient beds located on the James Paget University Hospital. These are a mix of critical, intensive and high dependency care, general surgery and medicine, maternity, paediatrics and neonatal, and escalation beds used when we are experiencing high demand and need to deal with an increased number of patients needing our care. 
As a University Hospital, the Trust trains over one third of the medical students from the University of East Anglia and has a strong national reputation for research and excellence in the quality of training facilities.
 
On-calls:
The on-calls are a full working pattern shift system (24 hour, non resident). The weekdays are a 1:7 rota covering both James Paget University Hospital and Norfolk and Norwich Hospital. At weekends cover also includes the  Queen Elizabeth Hospital with the registrar based at Norfolk & Norwich University Hospital.
 
 
Mon
Tues
Wed
Thurs
Fri
 
 
 
 
 
 
 
SpR 1
am
Theatre PT   4/4
OPD PRP/JH   3/4                    DCR list CP 1/4
Theatre PRP 4/4
Audit
Theatre BAO 2/4                  TNO 2/4                         
 
pm
OPD PT       4/4
Theatre PRP 3/6                  Minor ops 1/4                   OPD CP any non-theatre weeks   
OPD PRP    4/4
OPD CMP       4/4
Research (remains on site at JPUH)
 
 
 
 
 
 
 
SpR 2
am
OPD JH      4/4
OPD  PT 4/4
Theatre BAO 4/4                
Theatre CP 4/4
OPD PT 4/4
 
pm
Theatre JH 4/4
Theatre PT 4/4
Audit
Theatre CP 1/6                 OPD Specialist rhinology/smell & taste 5/6
Research UEA
 
 
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